Individual provider · Type 1 NPI

Jesse Gortarez

Mental Health Counselor · San Luis Obispo, CA

NPI number 1285760942 Active

Practice location

277 South St, Suite T
San Luis Obispo, CA 93401-5039

Fax (805) 788-2030

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1285760942

Jesse Gortarez's National Provider Identifier is 1285760942, issued on Feb 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jul 8, 2007.